Organization
TENAFLY DENTAL SPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA IGDALEV DDS (OWNER)
(201) 668-0662
Entity
Organization
Contact information
Practice address
2 DEAN DR, 3RD FLOOR, TENAFLY, NJ 07670-2765
(201) 668-0662
Mailing address
464 NEVADA ST, PARAMUS, NJ 07652-5622
(201) 668-0662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02013400
NJ
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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